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Organization

SALT DENTAL DMD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAM-TU VO DMD (DENTIST)
(360) 547-3687
Entity
Organization

Contact information

Practice address
4300 TALBOT RD S STE 105, RENTON, WA 98055-6238
(360) 547-3687
(206) 703-2817
Mailing address
4300 TALBOT RD S STE 105, RENTON, WA 98055-6238
(206) 395-4748
(206) 703-2817

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1223G0001X
General Practice Dentistry

Other

Enumeration date
05/10/2023
Last updated
06/15/2023
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